Individual
ALYSSA GABRIELLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5704 E AIRE LIBRE AVE UNIT 1043, SCOTTSDALE, AZ 85254-1218
(623) 385-6109
Mailing address
19449 N 7TH PL, PHOENIX, AZ 85024-1741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86059683
AZ
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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